| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,213 |
8,332 |
$1.50M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,485 |
1,360 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
345 |
323 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
358 |
337 |
$844.61 |
| 92551 |
|
859 |
839 |
$761.89 |
| 99173 |
|
856 |
837 |
$504.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
435 |
427 |
$369.77 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
30 |
$290.00 |
| 96127 |
|
398 |
383 |
$288.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
188 |
187 |
$240.00 |
| 90686 |
|
209 |
198 |
$220.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
141 |
134 |
$182.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
368 |
365 |
$10.00 |
| 36415 |
Collection of venous blood by venipuncture |
184 |
169 |
$3.97 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
83 |
82 |
$0.00 |
| 90682 |
|
15 |
15 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
116 |
115 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
38 |
38 |
$0.00 |
| 90734 |
|
31 |
15 |
$0.00 |
| 1160F |
|
68 |
66 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
79 |
75 |
$0.00 |
| 90461 |
|
28 |
28 |
$0.00 |
| 11721 |
|
27 |
27 |
$0.00 |
| 90670 |
|
38 |
38 |
$0.00 |
| 3288F |
|
28 |
27 |
$0.00 |
| 85018 |
|
13 |
13 |
$0.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
109 |
71 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
312 |
299 |
$0.00 |
| 97802 |
|
436 |
428 |
$0.00 |
| 3008F |
|
202 |
195 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
35 |
32 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 1101F |
|
33 |
33 |
$0.00 |
| 1036F |
|
14 |
14 |
$0.00 |
| 90651 |
|
33 |
16 |
$0.00 |
| 36416 |
|
27 |
27 |
$0.00 |